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Actify Physiotherapy in Boca Raton, FL, is distinguished for its work in the field of joint hypermobility and specialized focus on shoulder, hip, pelvis and ankle/foot through movement science.
In our 55 minutes-long therapy sessions, we focus on finding the root cause of your pain by approaching your body as a whole and not merely looking at your symptoms. Our comprehensive approach utilizes a variety of techniques including Kinetic Control and Positional Release as well as such manual therapy techniques as myofascial release, trigger point release, Mulligan Concept, Maitland and neural mobilization, among others.
When you arrive at our clinic, we begin our thorough evaluation that includes an assessment of your painful joints’ range of motion (ROM) as well as ROM and muscle testing of the joints adjacent to the injured area.
We use a digital computerized postural analysis and a biomechanical video movement assessment as well and repeat it throughout your therapy to measure recovery and change. You can also expect strength and balance assessments and investigation into causative factors for pain and swelling.
In this section you will find details on key services for which we have knowledge and expertise.
MOVEMENT IMPAIRMENT REHABILITATION
Movement control impairments have been shown to be a contributing factor in chronic and recurrent musculoskeletal pain and in limiting functional ability. At Actify Physiotherapy we focus on the assessment of movement impairments using movement control tests. Movement control tests identify the site and direction of uncontrolled movement (movement impairments) and this classification can direct effective exercise and retraining programmes to improve function.
The research over the last 5 years has demonstrated that in submaximal / testing there are consistent and predictable changes in the patterns of activation threshold between muscles with a stabilizer role and muscles with a mobilizer role in the development of chronic problems and recurrence of them. At Actify Physiotherapy we utilize a variety of options including a detailed clinical reasoning framework to identify priorities for rehabilitation, where to start retraining and how to be specific and effective in exercise prescription to develop individual training programs.
Manual therapy relates to the use of a therapist’s hands to achieve pain relief. By using specific techniques, the spine therapist can relieve pain through hands-on movements applied to vertebrae and soft tissue areas. This is achieved not passively, with a modality such as ice or heat, but through actively moving the joints and tissues. Manual Therapy is considered the most effective approach to treat musculoskeletal dysfunction.
At Actify Physiotherapy we utilize specific hands-on techniques, including but not limited to manipulation of the spine, periferal joints and soft tissue. These techniques are used to diagnose and treat soft tissues and joint structures for the purpose of modulating pain; increasing range of motion; reducing or eliminating soft tissue inflammation; contractile and non-contractile tissue repair, extensibility, and stability; facilitating movement; and improving function. Techniques used may involve approaches taught by schools including Ola Grimsby, Paris, Cyriax, Mulligan and the Maitland therapy school in Australia.
BIOMECHANICAL VIDEO MOVEMENT ASSESSMENT
Actify Physiotherapy offers postural and biomechanical analysis services to anyone who wants to improve health and performance or prevent injury while performing dalily tasks or practicing a sport. We also offer a biomechanical movement analysis service.
Developing appropriate biomechanics and technique is one of the most vital components to achieving success and avoiding injury in athletics. We are specially trained to observe and identify faulty movement patterns and limitations of the musculoskeletal system that may lead to nagging, debilitating injury.
Large movement faults may be observable with the naked eye, but many motions occur so quickly that only high speed video analysis can capture some of these critical movement faults. At Actify Physiotherapy we use an advanced digital software to provide Performance Evaluations for several specialized athletic movements including:
HIP ARTHROSCOPY REHABILITATION
A critical part of hip arthroscopic surgery is the rehabilitation a patient receives after the procedure. This can make the difference between failure and success. Actify Physiotherapy works closely with the best hip arthroscopy surgeons in the area to make sure that a rehabilitation program can begin fairly shortly after the procedure. Indeed, there is some advantage in attending a rehabilitation program before surgery, so-called prehabilitation, as this can set the scene for what is to follow. As a rough guide, rehabilitation can begin as early as 3 days and no later than than one week after hip arthroscopic surgery and may continue for up to four months, sometimes for even longer. It is quite normal for a patient to feel discomfort in the hip for six weeks or more after surgery. Usually this will be groin discomfort but occasionally pain may be felt elsewhere. Sometimes a patient may feel occasional discomfort even one year after hip arthroscopic surgery but this is generally not a major issue.
Hip arthroscopy is a minimally invasive surgical technique where it is possible to look inside the hip joint with the aid of a fibre optic telescope and then perform a variety of surgical procedures. These procedures include repairing or trimming cartilage, removal of loose bodies such as cartilage or bone fragments from the joint, and removal of the synovium (the membrane lining the hip joint).
Most commonly hip arthroscopy is performed for labral tears (torn cartilage), removal of loose bodies, and to treat femoral acetabular impingement or FAI (where there is too much friction in the hip joint).
SHOULDER LABRAL TEAR REHABILITATION
Your shoulder is a ball and socket joint. The ball is at the end of your humerus, the arm bone, and it sits in the socket located at the end of your scapula, or shoulder blade.
The ball is much bigger than the socket which allows a lot of mobility to occur at your shoulder joint. This allows you to move your arms in many directions.
Since the ball is so much bigger than the socket, the shoulder is considered a very unstable joint. The ball can easily slip out of the socket, causing shoulder pain and dysfunction.
The labrum is a band of cartilage that courses around the edge of the socket in your shoulder. It serves to add depth to the socket of your shoulder joint.
Imagine your shoulder as a golf ball on a tee. The ball is much bigger than the tee and can easily roll off. If the edge of the tee where ball sits has a small band of tissue around it, the tee would be deeper, and the ball would be less likely to roll off. Thus, the labrum makes your shoulder socket deeper to help keep the ball in the joint.
The labrum also serves as an attachment point for other structures in your shoulder. Some of the ligaments that support your shoulder attach to the labrum. One of the twobiceps tendons attach to the top portion of the labrum in your shoulder.
Symptoms of a Torn Labrum
Since there are many muscles and ligaments in the shoulder, a torn labrum may be difficult to diagnose. Some of the signs and symptoms of a labrum tear include:
A catching sensation in your shoulder
Difficulty lifting your shoulder
A feeling that your shoulder is coming out of joint
A shoulder labrum tear can be a painful injury that limits your ability to use your arm normally. It may cause your arm to feel weak and unstable. Physical therapy can help to increase the strength and mobility in your shoulder to help you return to normal activity quickly and safely.
JOINT LAXITY AND JOINT HYPERMOBILITY
Joint hypermobility syndrome is a condition that features joints that easily move beyond the normal range expected for a particular joint. Joint laxity is defined as looseness or instability of a joint. When joint instability develops, one or more of the systems that normally stabilize a joint fail to work properly. Both conditions can lead to movement dysfunctions and injury.
Only a comprehensive physical examination is able to assess, diagnose, classify and retrain movement dysfunction and faults in relation to pain and disability giving the joints the proper support needed to function pain free.
The hips are vital to our body's mobility and stability. The joints, bones, muscles and ligaments of the hip and pelvic areas are intricately balanced but can be vulnerable to wear and tear. When viewed as part of a continuum, hip conditions and disorders range from pre-clinical disorders, which can be followed by early symptoms of hip disease, and disorders that can result in clear degenerative disease of the hip. Research shows that timely intervention for some conditions may slow or reverse their progression.
Non surgical approach should always be considered first when treating hip pain. With some conditions it is possible to resolve the symptoms with rest, modifying one's behavior and a physical therapy regimen. Your physician may prescribe anti-inflammatories to assist in healing. Conservative regiment has shown to be successful in reducing pain and swelling.
Motion Guidance is an adjustable laser pointer rehabilitation and training tool that offers a simple way to add visual feedback external cues to your rehab sessions and home exercise program. Simply put, its a streamlined bio-mechanics lab, without the price tag. With the Motion Guidance system, you can add a novel neuromuscular control component to virtually any aspect of rehab. For patients and athletes this feedback is intuitive, and allows instant recognition of motor control, as well as a way to train and assess simultaneously.
SPORTS SPECIFIC REHABILITATION
We are experts in the area of sports physical therapy and your rehab experience with us will be like none you have experienced before. We offer a comprehensive rehab program with a custom designed exercise and rehab program for you, the patient. At Actify Physiotherapy we use variety of unique tasks designed to get you back to competing at the level your used to quicker than you thought possible. Many of our therapists are athletes themselves and understand the importance of returning to sport. We have treated athletes from several high schools and colleges in the area and we pride ourselves on providing a comfortable and advanced atmosphere for rehab. Athletic injuries are essentially orthopedic injuries, which have a sport specific component. Our goal for the athlete is to return the patient to the sport quickly, while preventing re-injuries through proper warm-up and training procedures. Our program is effective, helping return patients to previous levels of sports activity through exercises for the trunk, upper, and lower extremities and back. If you are a local high school soccer player seeking a speedy recovery from an ACL repair or a senior citizen trying to get back on the golf course we can assure that you will be receiving the best care in the area and be amongst your peers at Actify Physiotherapy.
REDCORD SUSPENSION TRAINING
Anti-gravity suspension exercises for physical therapy, fitness and performance training.
Suspension creates fun and challenging exercises for physical rehabilitation and sports performance enhancement. Performing precise movement patterns in unsteady ropes is the foundation of suspension exercise. By leveraging your own body weight as the resistance, you can do hundreds of movements (bridge, plank, squat, pull up, etc.) from just one single device. Each exercise demands total body awareness and accurate muscle control to help you build a lasting core foundation and a stable body in less time than conventional training methods.
Cupping is one of the oldest methods of traditional Chinese medicine.
BENEFITS OF CUPPING THERAPY
Promotes deep relaxation of muscles and fascia, locally and peripherally
Stimulates whole-system system relaxation response
Encourages the proper circulation, oxygenation, and detoxification of blood
Detoxifies metabolic residue in muscle tissue, fascia and skin by bringing toxins up into the circulatory system to be cleansed and safely excreted.
Cupping is very effective applied locally to promote proper circulation and reduces swelling at or near the site of an acute injury (ankle, shoulder, back strain/sprain). It can also be used to relieve stagnation of qi and blood in areas that chronically “hold” pain, like old injury sites, areas around surgical scars, or areas of occupational overuse.